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General NPI Number Information
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NPI Number | 1699274829
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Entity Type | Organization
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Legal Business Name | WESTCHESTER DENTAL DESIGN, PC
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Dates
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Enumeration Date | 02/02/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 1915 CENTRAL PARK AVE STE 201
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City | YONKERS
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State | NY
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Zip | 10710-2949
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Country | US
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Telephone | 914-961-1700
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Fax | 914-961-1799
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Provider Business Mailing Address
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Address Line | 15 CROSSWAY
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City | SCARSDALE
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State | NY
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Zip | 10583-7117
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Country | US
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Telephone | 914-961-1700
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Fax | 914-961-1799
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Authorized Official
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Title or Position | OWNER
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Name | DR. LOKESH C RAO
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Credential | DDS
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Telephone | 914-961-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 023062
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 054821
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License Number State | NY
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